Spontaneous conversion of VF
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Spontaneous conversion of VF
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A patient with severe left ventricular dysfunction has been investigated by Holter monitoring. He denied any symptoms during the recording. Atrial fibrillation with a ventricular rate of around 60 bpm and normal QT interval is recorded at baseline. 14:10:08 A polymorphic ventricular tachycardia started apparently after a
short-long-short sequence.
14:10:42 Tachycardia accelerates and suddenly disorganizes to a morphology of
ventricular fibrillation.
14:12:26 The disorganized rhythm suddenly stops and a prolonged asystole
follows.
14:13:01 Life starts to come back! A few scattered beats start to appear
The whole events appear to have occurred during an afternoon nap! Unfortunately, he refused to implant an ICD and died suddenly a few weeks later, possibly not surviving another VF episode.
We are grateful to Dr. Adl and Dr. Kafi for providing this interesting, rarely reported finding. |
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